| Shae-run Inc. | |
|
1700 W Business 380 Decatur TX 76234-3232 | |
| (940) 627-7811 | |
| Not Available |
| Full Name | Shae-run Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1700 W Business 380, Decatur, Texas |
| Authorized Official Name and Position | Ron W Westbrook (PRESIDENT) |
| Authorized Official Contact | 9406277811 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shae-run Inc. 1700 W Business 380 Decatur TX 76234-3232 Ph: (940) 627-7811 | Shae-run Inc. 1700 W Business 380 Decatur TX 76234-3232 Ph: (940) 627-7811 |
| NPI Number | 1124192679 |
|---|---|
| Provider Enumeration Date | 11/17/2006 |
| Last Update Date | 07/28/2008 |
| Medicare PECOS PAC ID | 8921039132 |
|---|---|
| Medicare Enrollment ID | O20050827000157 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124192679 | NPI | - | NPPES |
| 1841296704 | Other | TX | DR. WESTBROOK'S NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | F002746 (Texas) | Primary |
| Provider Name | Ronald W Westbrook |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1841296704 PECOS PAC ID: 6901837111 Enrollment ID: I20050827000172 |
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